evidence based practice essay examples

What is Evidence-Based Practice in Nursing? (With Examples, Benefits, & Challenges)

Are you a nurse looking for ways to increase patient satisfaction, improve patient outcomes, and impact the profession? Have you found yourself caught between traditional nursing approaches and new patient care practices? Although evidence-based practices have been used for years, this concept is the focus of patient care today more than ever. Perhaps you are wondering, “What is evidence-based practice in nursing?” In this article, I will share information to help you begin understanding evidence-based practice in nursing + 10 examples about how to implement EBP.

What is Evidence-Based Practice in Nursing?

When was evidence-based practice first introduced in nursing, who introduced evidence-based practice in nursing, what is the difference between evidence-based practice in nursing and research in nursing, what are the benefits of evidence-based practice in nursing, top 5 benefits to the patient, top 5 benefits to the nurse, top 5 benefits to the healthcare organization, 10 strategies nursing schools employ to teach evidence-based practices, 1. assigning case studies:, 2. journal clubs:, 3. clinical presentations:, 4. quizzes:, 5. on-campus laboratory intensives:, 6. creating small work groups:, 7. interactive lectures:, 8. teaching research methods:, 9. requiring collaboration with a clinical preceptor:, 10. research papers:, what are the 5 main skills required for evidence-based practice in nursing, 1. critical thinking:, 2. scientific mindset:, 3. effective written and verbal communication:, 4. ability to identify knowledge gaps:, 5. ability to integrate findings into practice relevant to the patient’s problem:, what are 5 main components of evidence-based practice in nursing, 1. clinical expertise:, 2. management of patient values, circumstances, and wants when deciding to utilize evidence for patient care:, 3. practice management:, 4. decision-making:, 5. integration of best available evidence:, what are some examples of evidence-based practice in nursing, 1. elevating the head of a patient’s bed between 30 and 45 degrees, 2. implementing measures to reduce impaired skin integrity, 3. implementing techniques to improve infection control practices, 4. administering oxygen to a client with chronic obstructive pulmonary disease (copd), 5. avoiding frequently scheduled ventilator circuit changes, 6. updating methods for bathing inpatient bedbound clients, 7. performing appropriate patient assessments before and after administering medication, 8. restricting the use of urinary catheterizations, when possible, 9. encouraging well-balanced diets as soon as possible for children with gastrointestinal symptoms, 10. implementing and educating patients about safety measures at home and in healthcare facilities, how to use evidence-based knowledge in nursing practice, step #1: assessing the patient and developing clinical questions:, step #2: finding relevant evidence to answer the clinical question:, step #3: acquire evidence and validate its relevance to the patient’s specific situation:, step #4: appraise the quality of evidence and decide whether to apply the evidence:, step #5: apply the evidence to patient care:, step #6: evaluating effectiveness of the plan:, 10 major challenges nurses face in the implementation of evidence-based practice, 1. not understanding the importance of the impact of evidence-based practice in nursing:, 2. fear of not being accepted:, 3. negative attitudes about research and evidence-based practice in nursing and its impact on patient outcomes:, 4. lack of knowledge on how to carry out research:, 5. resource constraints within a healthcare organization:, 6. work overload:, 7. inaccurate or incomplete research findings:, 8. patient demands do not align with evidence-based practices in nursing:, 9. lack of internet access while in the clinical setting:, 10. some nursing supervisors/managers may not support the concept of evidence-based nursing practices:, 12 ways nurse leaders can promote evidence-based practice in nursing, 1. be open-minded when nurses on your teams make suggestions., 2. mentor other nurses., 3. support and promote opportunities for educational growth., 4. ask for increased resources., 5. be research-oriented., 6. think of ways to make your work environment research-friendly., 7. promote ebp competency by offering strategy sessions with staff., 8. stay up-to-date about healthcare issues and research., 9. actively use information to demonstrate ebp within your team., 10. create opportunities to reinforce skills., 11. develop templates or other written tools that support evidence-based decision-making., 12. review evidence for its relevance to your organization., bonus 8 top suggestions from a nurse to improve your evidence-based practices in nursing, 1. subscribe to nursing journals., 2. offer to be involved with research studies., 3. be intentional about learning., 4. find a mentor., 5. ask questions, 6. attend nursing workshops and conferences., 7. join professional nursing organizations., 8. be honest with yourself about your ability to independently implement evidence-based practice in nursing., useful resources to stay up to date with evidence-based practices in nursing, professional organizations & associations, blogs/websites, youtube videos, my final thoughts, frequently asked questions answered by our expert, 1. what did nurses do before evidence-based practice, 2. how did florence nightingale use evidence-based practice, 3. what is the main limitation of evidence-based practice in nursing, 4. what are the common misconceptions about evidence-based practice in nursing, 5. are all types of nurses required to use evidence-based knowledge in their nursing practice, 6. will lack of evidence-based knowledge impact my nursing career, 7. i do not have access to research databases, how do i improve my evidence-based practice in nursing, 7. are there different levels of evidence-based practices in nursing.

• Level One: Meta-analysis of random clinical trials and experimental studies • Level Two: Quasi-experimental studies- These are focused studies used to evaluate interventions. • Level Three: Non-experimental or qualitative studies. • Level Four: Opinions of nationally recognized experts based on research. • Level Five: Opinions of individual experts based on non-research evidence such as literature reviews, case studies, organizational experiences, and personal experiences.

8. How Can I Assess My Evidence-Based Knowledge In Nursing Practice?

Evidence Based Practice Essays

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10 Evidence-Based Practice Examples

Tio Gabunia (B.Arch, M.Arch)

Tio Gabunia is an academic writer and architect based in Tbilisi. He has studied architecture, design, and urban planning at the Georgian Technical University and the University of Lisbon. He has worked in these fields in Georgia, Portugal, and France. Most of Tio’s writings concern philosophy. Other writings include architecture, sociology, urban planning, and economics.

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Chris Drew (PhD)

This article was peer-reviewed and edited by Chris Drew (PhD). The review process on Helpful Professor involves having a PhD level expert fact check, edit, and contribute to articles. Reviewers ensure all content reflects expert academic consensus and is backed up with reference to academic studies. Dr. Drew has published over 20 academic articles in scholarly journals. He is the former editor of the Journal of Learning Development in Higher Education and holds a PhD in Education from ACU.

Evidence-based practice is, as the name suggests, the idea that occupational practices should be based on scientific evidence.

Evidence-based practices were first introduced in medicine. Since then, they have become common in nursing (Ellis, 2016), education (Pring & Thomas, 2004), management, psychology (Hersen & Sturmey, 2012), architecture, urban planning, public policy (Loversidge & Zurmehly, 2019), law, philanthropy, and other fields. 

A simple example of evidence-based practice is when a therapist chooses to pivot to a new therapy strategy with a patient after receiving compelling new evidence in the academic literature that demonstrates its effectiveness.

Definition of Evidence-Based Practice

Evidence-based practice requires a systematic approach to the translation of research findings into practice.

Supporters of evidence-based practice claim that it can to bridge the gap between research and practical application (Reynolds, 2000, p. 19).

Evidence-based practices distinguish between research that has immediate practical significance and research that doesn’t.

In the case of medicine, this:

“….helps doctors to ignore the vast quantities of clinical research which are not of direct relevance to practice” (Reynolds, 2000, p. 19).

Evidence-based medicine, which is where evidence-based practice originated, consists of five explicit steps (Reynolds, 2000, pp. 22-23):

• A Specific Question: First, the clinician, faced with a  patient or group of patients, constructs a specific question concerning their care. This could relate to the diagnosis of the problem, the most effective treatments and their possible side-effects, or the best method of delivering services to meet patients’ needs.
• Finding the Best Evidence: The second stage consists of finding, as efficiently as possible, the best evidence to answer the clinical question.
• Evaluating the Validirty and Usefulness: Third, the clinician evaluates the evidence for its validity and usefulness.
• Applying the Practice: Fourth, the results are applied to the specific patient or group of patients.
• Evaluating the Practice: Finally, the outcome of the intervention is evaluated. 

Evidence-based practices in other fields tend to follow a similar process that is modified to fit the context.

Evidence-Based Practice Examples

1. hand hygeine (healthcare).

Hand washing in hospitals emerged rather late in human history – around the 1840s according to the History Channel . This was based on some rather gruesome evidence.

Doctors began to notice that mothers’ deaths during childbirth were far higher in the doctors’ wards (about 98.4 deaths per 1000 births) compared to midwives’ wards (36.2 per 1000 births).

One Hungarian doctor, Ignaz Semmelweis, started conducting some tests to see why women were dying at such high rates in doctors’ wards. At first, he thought the priests’ bells were scaring women as priests would walk through doctors’ wards only. But rerouting the priests did nothing.

Then, he noticed that the doctors did a range of tasks during their day the midwives didn’t – including handling cadavers. He hypothesized that the doctors might be bringing matter from the cadavers into the wards on their hands. So, he made them wash their hands.

The result was fantastic – deaths during childbirth plummeted in the doctors’ wards.

Interestingly, it took Semmelweis a long time to convince other European doctors to follow his evidence-based practice, but eventually, his arguments won everyone over.

2. Cognitive Behavioral Therapy (Psychotherapy)

Cognitive Behavioral Therapy (CBT) is a psychological treatment grounded in empirical research.

It aims to help people re-frame their thoughts by identifying when a thought might be leading them astray. Amd teaches them to reframe their thoughts into ones that are more productive.

This therapy has been demonstrated to be effective for a range of disorders, including depression, anxiety disorders, and eating disorders.

Therapists and councillors have been compelled to bring CBT into their practice, and often replace medicinal treatments with CBT, due to substantial evidence that it is as effective as, or more effective than, psychiatric medications.

This intervention, then, is an example of how a therapeutic treatment is used because evidence suggests it’s highly effective.

3. Play-Based Learning (Education)

There was a period of time where play in the classroom was considered unacceptable – children should learn through repetition and rote learning!

But learning theorists in the early- to mid-20th Century, including Maria Montessori, Rudolph Steiner, and Mildred Parten, presented new evidence that play-based learning supports children’s cognitive development .

Following this evidence, a range of school curricula around the world have proactively encouraged play as a means for stimulating learning and development in the classroom.

4. Hot Spots Policing (Criminal Justice)

Hot spots policing focuses on small geographic areas or places, usually in urban settings, where crime is concentrated.

The majority of criminal events occur in these relatively few places, often termed ‘hot spots.’

Criminologists have found ample evidence that focussing resources on these hot spots can help to reduce crime rates, improve public safety, and more efficiently distribute police resources.

As a meta-analysis by Braga, Papachristos and Hureau (2014) concludes:

“The results of our research suggests that hot spots policing generates small but noteworthy crime reductions, and these crime control benefits diffuse into areas immediately surrounding targeted crime hot spots.”

Strategies used during hot spot policing include increasing police patrols, and problem-oriented policing strategies. Nevertheless, strategies need to be carefully catered in order to ensure prejudice, profiling, and discrimination do not occur.

5. Motivational Interviewing (Social Work)

Motivational Interviewing (MI) is a counseling approach designed to create safe spaces for clients to share their thoughts, have them heard with empathy, and lastly, to motivate clients to achieve change in their lives.

The eventual goal is to instil intrinsic motivation within the client, which can lead to long-term changes in behavior.

The concept has gained prominence in social work practice because a substantial corpus of evidence has emerged underpinning its effectiveness.

For example, two meta-analyses have found MI to effect change for clients:

“MI produced statistically significant, durable results” (Lundahl et al., 2010)

“Psychologists and physicians obtained an effect in approximately 80% of the studies, while other healthcare providers obtained an effect in 46% of the studies. When using motivational interviewing in brief encounters of 15 minutes, 64% of the studies showed an effect.” (Rubak et al., 2005)

6. Dialectical Behavioral Therapy (Psychology)

DBT is a cognitive-behavioral treatment developed by Marsha Linehan for individuals with borderline personality disorder who engage in self-harming behaviors.

DBT combines principles of behavioral psychology, which are used to promote change, with mindfulness and acceptance strategies from eastern meditation traditions.

The efficacy of DBT has been shown in numerous randomized controlled trials for a variety of behavioral, emotional, and cognitive outcomes.

7. Formative Assessment (Education)

Formative assessment is an educational approach that involves testing students’ learning and development part-way through a unit of work.

It generally involves giving students pop quizzes or in-class assessments, followed by feedback on their work that they can use to identify weaknesses to work on prior to a final test.

It’s also extensively used to adjust teaching strategies mid-stream to better suit students’ needs.

Meta-analyses consistently find that it can help support student learning and outcomes:

“…meta-analysis research found consistent positive effects of formative assessment on student learning” (Lee et al., 2020, p. 125)

This ongoing, interactive assessment allows teachers to identify and address gaps in students’ understanding, helping students to learn more effectively. Evidence indicates that formative assessment can significantly enhance student learning.

8. Action Research (Various Fields)

Action research embraces the principles of evidence-based practice by empowering practitioners to gather their own evidence in their own contexts.

It is a method of research that involves practitioners conducting studies of their own practice, often in collaboration with their clients, patients, and students.

The action researcher conducts analysis of their own practice then uses the feedback gathered during their research process to make adjustments to their practice. Following this, more action research studies will take place, with scholars continuing to update and improve their work over time with the support of evidence collected during their research.

One big benefit of an action research approach is that the data is collected in their own settings, making the findings of the case studies extremely relevant to their practice.

9. Effective Altruism (Philanthropy)

Effective Altruism is a philosophy and social movement that advocates for making the world a better place in the most effective way possible.

It is unique in the fact that it researches the most effective companies to donate to, based on factors like bang-for-your-buck, how much money is wasted on administration and marketing, and so on. The idea is to ensure your philanthropic donations do the most good in the world.

Often, it finds that people should donate to highly efficient charities who work on causes such as global poverty in the developing world, where one dollar can go a long way in saving and improving lives.

10. Use of Checklists in Surgery (Healthcare)

Checklists are used in medicine, particularly in surgical procedures, to reduce errors and improve patient safety.

The WHO’s Surgical Safety Checklist is a prominent example. It includes a series of checks to be done before induction of anesthesia, before the incision of the skin, and before the patient leaves the operating room.

The introduction of this checklist in healthcare has resulted in significant reductions in both morbidity and mortality (Kramer & Drews, 2016), leading to its widespread adoption.

Evidence-based practice has underpinned significant improvements in outcomes across multiple professions, from healthcare to social work, to education. By basing your work on evidence rather than anecdote or assumptions, we can have higher standards in our professions and better serve our communities. However, this comes with burdens, such as the need for ongoing professional development and consistent action research to assess whether outcomes of interventions match our expectations.

Braga, A. A., Papachristos, A. V., & Hureau, D. M. (2014). The effects of hot spots policing on crime: An updated systematic review and meta-analysis. Justice quarterly , 31 (4), 633-663.

Ellis, P. (2016). Evidence-based Practice in Nursing . SAGE Publications.

Geddes, J. (2000). Evidence-Based Practice in Mental Health. In Trinder, L., & Reynolds, S. (2000). Evidence-Based Practice: A Critical Appraisal . Blackwell.

Guyatt, G., Cairns, J., Churchill, D., Cook, D., Haynes, B., Hirsh, J., Irvine, J., Levine, M., Levine, M., Nishikawa, J., Sackett, D., Brill-Edwards, P., Gerstein, H., Gibson, J., Jaeschke, R., Kerigan, A., Neville, A., Panju, A., Detsky, A., … Tugwell, P. (1992). Evidence-Based Medicine: A New Approach to Teaching the Practice of Medicine. JAMA , 268 (17), 2420–2425. https://doi.org/10.1001/jama.1992.03490170092032

Lee, H., Chung, H. Q., Zhang, Y., Abedi, J., & Warschauer, M. (2020). The effectiveness and features of formative assessment in US K-12 education: A systematic review. Applied Measurement in Education , 33 (2), 124-140.

Hersen, M., & Sturmey, P. (2012). Handbook of Evidence-Based Practice in Clinical Psychology, Adult Disorders . John Wiley & Sons.

Hjørland, B. (2011). Evidence-based practice: An analysis based on the philosophy of science. Journal of the American Society for Information Science and Technology , 62 (7), 1301–1310. https://doi.org/10.1002/asi.21523

Ioannidis, J. P. A., Fanelli, D., Dunne, D. D., & Goodman, S. N. (2015). Meta-research: Evaluation and Improvement of Research Methods and Practices. PLoS Biology , 13 (10), e1002264. https://doi.org/10.1371/journal.pbio.1002264

Kramer, H. S., & Drews, F. A. (2017). Checking the lists: A systematic review of electronic checklist use in health care. Journal of biomedical informatics , 71 , S6-S12.

Loversidge, J. M., & Zurmehly, J. (2019). Evidence-Informed Health Policy . Sigma Theta Tau.

Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty-five years of empirical studies. Research on social work practice , 20 (2), 137-160.

MacAskill, W. (2017). Effective Altruism: Introduction. Essays in Philosophy , 18 (1), 1–5. https://doi.org/10.7710/1526-0569.1580

MacAskill, W., & Pummer, T. (2020). Effective Altruism. In International Encyclopedia of Ethics (pp. 1–9). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781444367072.wbiee883

Parry, G. (1992). Improving psychotherapy services: Applications of research, audit and evaluation. British Journal of Clinical Psychology , 31 , 3–19. https://doi.org/10.1111/j.2044-8260.1992.tb00964.x

Pring, R., & Thomas, G. (2004). Evidence-based Practice in Education . McGraw-Hill Education (UK).

Reynolds, S. (2000). The Anatomy of Evidence-Based Practice: Principles and Methods. In Trinder, L., & Reynolds, S. (2000). Evidence-Based Practice: A Critical Appraisal . Blackwell.

Rosenberg, W., & Donald, A. (1995). Evidence based medicine: An approach to clinical problem-solving. BMJ (Clinical Research Ed.) , 310 (6987), 1122–1126. https://doi.org/10.1136/bmj.310.6987.1122

Rubak, S., Sandbæk, A., Lauritzen, T., & Christensen, B. (2005). Motivational interviewing: a systematic review and meta-analysis. British journal of general practice , 55 (513), 305-312.

Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn’t. BMJ , 312 (7023), 71–72. https://doi.org/10.1136/bmj.312.7023.71

Smolen, P., Zhang, Y., & Byrne, J. H. (2016). The right time to learn: Mechanisms and optimization of spaced learning. Nature Reviews. Neuroscience , 17 (2), 77–88. https://doi.org/10.1038/nrn.2015.18

Sutherland, W. (2003). Evidence-based Conservation. Conservation in Practice , 4 (3), 39–42. https://doi.org/10.1111/j.1526-4629.2003.tb00068.x

Tabibian, B., Upadhyay, U., De, A., Zarezade, A., Schölkopf, B., & Gomez-Rodriguez, M. (2019). Enhancing human learning via spaced repetition optimization. Proceedings of the National Academy of Sciences , 116 (10), 3988–3993. https://doi.org/10.1073/pnas.1815156116

Tolin, D. F. (2010). Is cognitive–behavioral therapy more effective than other therapies?: A meta-analytic review. Clinical psychology review , 30 (6), 710-720.

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Examples of Evidence-Based Practice in Nursing

Nurses play a crucial role in patient care and outcomes. By embracing evidence-based practice, nurses can ensure they are providing the highest quality and most effective care possible. In this article, we explore what evidence-based nursing practice is, how it improves patient outcomes, and how it can reduce healthcare costs. We also look at how professional nursing organizations support evidence-based practice, share examples of evidence-based practice in nursing, and discuss how nurses can advance their education to support evidence-based practice.

What is Evidence-Based Nursing Practice?

Evidence-Based Nursing Practice (EBNP) is an approach that involves integrating individual clinical expertise with the most relevant and current research evidence available. This assists healthcare providers in making informed decisions about patient care. Research conducted in the nursing field helps bridge the knowledge gap and improve healthcare organizations and patient outcomes. EBNP is built on the foundation laid by Florence Nightingale, who pioneered the use of empirical data and research studies to improve patient care and outcomes in the 19th century.

How Does Evidence-Based Practice Improve Patient Outcomes?

Evidence-Based Practice (EBP) leads to positive patient outcomes by promoting informed decision-making processes among healthcare providers. As they incorporate the latest and most reliable research evidence with their clinical expertise and the unique circumstances of each patient, they can develop more effective care plans. High-quality patient care is driven by relevant research studies, which inform clinical practice and aid in detecting discrepancies in healthcare delivery, thus minimizing potential complications and enhancing overall patient satisfaction.

What Are the Core Elements of an Answerable Clinical Question?

An answerable clinical question consists of four key components, commonly called the PICO framework. The acronym PICO stands for Patient or Population, Intervention, Comparison, and Outcome. These elements are essential for formulating a specific, clear, and answerable question that can be addressed using evidence-based research. By considering each aspect of the PICO framework, healthcare providers can pinpoint crucial knowledge gaps and assess an intervention’s effectiveness concerning a particular patient population and desired outcomes.

How Does Evidence-Based Practice Reduce Healthcare Costs?

Evidence-Based Practice can potentially reduce healthcare costs by boosting healthcare providers’ efficiency and improving patient care quality. By integrating the latest research evidence and clinical expertise, professionals can identify cost-effective interventions and minimize unnecessary or redundant procedures. This leads to better utilization of resources and reduced expenditure for both healthcare organizations and patients. Furthermore, improving healthcare outcomes through EBP reduces the need for costly readmissions, prescription medications, and extended hospital stays, thus reducing the financial burden on healthcare systems.

How Do Professional Nursing Organizations Support Evidence-Based Practice?

Professional nursing organizations, such as the American Nurses Association (ANA) and the American Nurses Credentialing Center (ANCC), play a vital role in promoting and supporting Evidence-Based Practice. These organizations provide guidance, resources, and opportunities for ongoing education, helping nurses and other healthcare providers enhance their clinical practice and deliver quality patient care. By offering access to reputable research studies and professional development programs, these organizations assist nurse leaders in implementing EBP throughout various healthcare settings.

What is the Role of the American Nurses Association in Evidence-Based Practice?

The American Nurses Association (ANA) is committed to promoting Evidence-Based Practice for its members and the nursing profession as a whole. The ANA provides resources, tools, and educational opportunities for nurses, encouraging continuous professional growth and development. They also advocate for nursing research funding and support nurses in conducting and disseminating research studies. The ANA empowers nurses to incorporate the most relevant evidence into their practice, ensuring patients receive the best possible care.

How Does the American Nurses Credentialing Center Promote Quality Patient Care?

The American Nurses Credentialing Center (ANCC) plays a significant role in promoting quality patient care through its various certification programs, accreditation services, and the Magnet Recognition Program. By encouraging healthcare organizations to adopt EBP, the ANCC aids in improving various aspects of patient care, such as safety and satisfaction. Additionally, ANCC certification programs recognize and validate the expertise of individual nurse leaders in their respective specialties, ensuring they possess the necessary knowledge and skills to implement EBP.

What Resources Do Professional Nursing Organizations Offer for Evidence-Based Practice?

Professional nursing organizations, such as the ANA and ANCC, offer numerous resources to support nurses in implementing Evidence-Based Practice. These include access to research databases, guidelines, and best practice recommendations. Furthermore, organizations like these provide educational webinars, conferences, and workshops on EBP, helping nurses stay up-to-date with the latest advancements in their field. For instance, the ANA’s Florence Nightingale Library offers diverse resources, including publications and e-books that cover various aspects of nursing practice, including EBP. Nurses can also find MSN programs specializing in EBP, such as the program developed by Darby Faubion, which is designed to train nurse leaders in implementing evidence-based practice in diverse healthcare settings.

What are Some Examples of Evidence-Based Practice in Nursing?

Evidence-based practice (EBP) integrates clinical expertise, best research evidence, and patient values to optimize health outcomes. This approach supports the nursing profession in delivering quality patient care. There are several examples that showcase the value of EBP in nursing:

1. Hand hygiene: Research studies have consistently demonstrated the importance of handwashing in preventing hospital-acquired infections. Florence Nightingale was a pioneer in emphasizing cleanliness in patient care. Today, healthcare organizations follow guidelines from the American Nurses Association and other agencies to ensure that hand hygiene is a standard of practice.

2. Fall prevention: EBP guides the proper assessment of patients at risk for falls and the implementation of strategies to prevent these incidents. Healthcare providers use evidence-based tools like the Morse Fall Scale to assess patients and develop a comprehensive care plan.

3. Pressure ulcer prevention: Evidence-based guidelines help nurses understand the risk factors and implement interventions to prevent pressure ulcers. Examples include turning patients regularly, using pressure-relieving devices, and maintaining skin integrity through proper care.

4. Pain management: EBP supports nurses in identifying a patient’s pain and managing it effectively using a combination of pharmacological and non-pharmacological interventions, improving patient outcomes and overall experience.

How Can Implementing Evidence-Based Practice Improve Patient Outcomes?

The evidence-based practice contributes to positive patient outcomes by guiding nurses in delivering the best possible care. Some of the ways in which EBP can lead to improved patient outcomes are:

1. Enhanced decision-making: EBP promotes the use of research findings and other evidence in clinical practice, allowing nurses to make informed decisions when developing and implementing care plans.

2. Consistency in care: Healthcare providers who consistently apply evidence-based practices across the various aspects of patient care ensure that their patients receive uniform, high-quality care, reducing the knowledge gap between providers and improving overall outcomes.

3. Decreased variations in practice: The adoption of EBP across healthcare organizations can minimize variations in clinical practice, leading to similar standards of care and promoting positive patient outcomes throughout the United States.

4. Empowered nursing workforce: Nurses equipped with the knowledge, skills, and confidence to apply EBP are more likely to engage in effective clinical decision-making, translating into better patient care and outcomes.

How Does Evidence-Based Practice Impact Quality Patient Care?

EBP directly influences the quality of patient care delivered by nurses and other healthcare professionals. Implementing EBP in nursing practice results in:

1. Improved clinical effectiveness: EBP helps healthcare providers identify the most effective interventions and treatment strategies based on the latest research evidence, ensuring that patients receive the best possible care.

2. Reduced healthcare costs: Utilizing evidence-based interventions can decrease the use of unnecessary or ineffective treatments, lowering healthcare costs for both patients and healthcare organizations.

3. Improved patient satisfaction: Adherence to EBP principles leads to better patient outcomes and experiences, resulting in heightened patient satisfaction and a positive perception of the healthcare organization.

4. Greater professional accountability: Nurses who embrace EBP take responsibility for staying updated on current research and integrating evidence into practice, ensuring their actions align with best practices and fostering a culture of excellence.

What Techniques Can Help Nurses Apply Evidence-Based Practice?

To successfully integrate EBP into nursing, healthcare providers can adopt several strategies:

1. Develop a culture of curiosity and learning: Encourage continuous learning among nursing staff by fostering an environment that values inquiry, research, and evidence-based practices. Nursing is a rapidly evolving field, and the latest research and technology can impact patient outcomes significantly. As such, it is essential to cultivate a culture of curiosity and continuous learning among the nursing staff. Leaders in healthcare organizations can promote and encourage nursing staff to stay current on new treatments, procedures, and technology. This can be accomplished through regular training sessions, attending conferences, and offering mentorship programs. By ensuring that nurses have the latest knowledge and tools at their disposal, patients can receive better care. Also, fostering a continuous learning environment can help attract and retain top talent.

2. Collaborate with other healthcare professionals: Teamwork, especially with healthcare professionals in other disciplines, can help to expand knowledge, share insights, and promote the use of EBP throughout the organization. For example, a nurse may collaborate with a physical therapist to develop a care plan for a patient with mobility issues. The physical therapist can provide insights on exercises and techniques that can aid the patient’s mobility, while the nurse can contribute information on the patient’s overall health and specific needs. Furthermore, collaborating with other healthcare professionals can help to identify common challenges and barriers to EBP implementation, and together they can develop solutions to overcome these hurdles. This can lead to more effective and efficient patient care, ultimately improving outcomes and satisfaction for both patients and healthcare providers.

3. Access and use resources: A wide array of tools and resources exist to support evidence-based practice, such as online databases, journals, and reference materials. Encourage regular use of these resources to support informed clinical decision-making. It is important to ensure healthcare professionals have the knowledge and skills necessary to access and use these resources. Training sessions can be offered to teach staff how to effectively search for and critically evaluate evidence. In addition, it can be beneficial to establish a process for regular updates to these resources, ensuring the most current and relevant information is available. Providing support and resources for staff who may not have access to these materials outside of work can also ensure they have the tools necessary to provide the best care possible. By promoting the regular use and access to these resources, healthcare professionals can make informed clinical decisions based on the best available evidence.

4. Engage in reflection: Reflecting on individual and team practices can help identify areas for improvement and encourage the implementation of evidence-based approaches at all levels of patient care. Reflection plays a critical role in improving the quality of healthcare services. It creates a culture of self-awareness, which helps team members understand their roles, responsibilities, and strengths. Reflective practice enables individuals and teams to identify areas where they need to improve their skills and knowledge. It also encourages the implementation of evidence-based approaches that have been shown to be effective in patient care. Reflection can involve various activities, such as discussing challenging cases, analyzing outcomes of previous treatments, and reviewing feedback from patients. By engaging in reflection, healthcare professionals can continuously improve their practices and provide the highest quality care possible.

How Can Nurses Advance Their Education to Support Evidence-Based Practice?

By obtaining advanced degrees and participating in professional development programs, nurses can acquire the knowledge and skills required to deliver evidence-based care. Several educational options exist for nurses looking to enhance their expertise in EBP.

Why Should Nurses Pursue an Online RN to BSN Program?

Pursuing an online Bachelor of Science in Nursing (BSN) degree is an excellent way for registered nurses to deepen their understanding of EBP. A BSN program typically focuses on enhancing clinical reasoning skills, research, and evidence-based practice, preparing nurses for the challenges of modern patient care. Online RN to BSN programs provide flexibility, allowing working professionals to balance their education with career and personal commitments.

How Can Nurses Find MSN Programs Focused on Evidence-Based Practice?

Nurses can find Master of Science in Nursing (MSN) programs that emphasize evidence-based practice by conducting thorough research on graduate nursing programs. Pay particular attention to a program’s curriculum, faculty expertise, accreditation status, and any available specialties that align with your professional interests. Seek recommendations from colleagues, mentors, and nurse leaders such as Darby Faubion, a well-known nursing advocate.

How Does Continuing Education Contribute to Improving Patient Outcomes?

Continuing education equips nurses with the latest knowledge and skills required to provide evidence-based care, promoting improved patient outcomes. By participating in workshops, conferences, and other professional development opportunities, nurses can stay informed on best practices, innovative research, and emerging trends in healthcare. Many healthcare organizations, including the American Nurses Credentialing Center, offer continuing education options tailored for nurses looking to maintain their licenses and advance their clinical practice to ultimately contribute to positive patient outcomes.

Other Resources from Xavier University Online

MSN vs. DNP: Which Nursing Degree is Right For You?

The Advantages of a Master of Science in Nursing (MSN) Degree in Addressing the Nursing Shortage

Exploring the Benefits of an MSN Degree for Nurses

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Evidence-Based Practice Essay

The purpose of this study is to demonstrate the use of evidence-based practice in answering a PICO question: “Do stimulants increase academic performance in university students?” Drawing references from peer-reviewed articles, this study will illustrate how clinical decisions are made from the inferences acquired from the literature sources. Through demonstrating an understanding of the principles of evidence-based practice, the paper will prove the validity of the statement by Khalil (2017) that it is imperative to evaluate and apply evidence-based practice in improving the quality of healthcare.

This study adopts a quantitative research design in which the researchers used a sample of eighteen healthy university students to report on the non medical use of elicit and prescription stimulants for enhancing academic performance. The data was collected through face to face interview. The methodology and methods of research were appropriate to course of the study since the researchers had a large sample size which guaranteed the generalization of the research findings.

Munro, B., Weyandt, L., Marraccini, M., & Oster, D. (2017). The relationship between nonmedical use of prescription stimulants, executive functioning and academic outcomes. Addictive Behaviors, 65, 250-257. http://dx.doi.org/10.1016/j.addbeh.2016.08.023

Barriers for the Application of Evidence in Practice

How closely the research studies provided align with the pico question.

1. Barclay, L. (2012). Evidence: Making an impact. International Journal of Evidence-Based Healthcare, 10(1), 1-2. http://dx.doi.org/10.1111/j.1744-1609.2012.00258.x

2. Bergstrom, N. (2008). The gap between discovery and practice implementation in evidence-based practice. International Journal of Evidence-Based Healthcare, 6(2), 135-136. http://dx.doi.org/10.1097/01258363-200806000-00001

3. Frewin, D. (2014). The International Journal of Evidence-Based Healthcare – Quo vadis? International Journal of Evidence-Based Healthcare, 12(1), 1-2. http://dx.doi.org/10.1097/xeb.0000000000000000

4. Frewin, D., & Court, A. (2009). Elements of evidence-based healthcare. International Journal of Evidence-Based Healthcare, 7(1), 1-2. http://dx.doi.org/10.1111/j.1744-1609.2009.00125.x

5. Hildt, E., Lieb, K., & Franke, A. (2014). Life context of pharmacological academic performance enhancement among university students – A qualitative approach. BMC Medical Ethics, 15(1). http://dx.doi.org/10.1186/1472-6939-15-23

6. Khalil, H. (2017). Evidence-based quality improvement. International Journal of Evidence-Based Healthcare, 15(3), 81. http://dx.doi.org/10.1097/xeb.0000000000000118

7. Munro, B., Weyandt, L., Marraccini, M., & Oster, D. (2017). The relationship between nonmedical use of prescription stimulants, executive functioning and academic outcomes. Addictive Behaviors, 65, 250-257. http://dx.doi.org/10.1016/j.addbeh.2016.08.023

8. Tan, M. (2013). Mentoring nurses in evidence-based projects. International Journal of Evidence-Based Healthcare, 11(3), 252-253. http://dx.doi.org/10.1097/01258363-201309000-00081

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Analysis of Evidence-based Practice in Nursing

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Evidence Based Practice, Essay Example

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The concept of Evidence-based practice (EBP) has been increasingly adopted in the nursing profession. EBP has received a number of different definitions but a common interpretation is that of “ the current and careful use of best evidence in the making of decisions in the care of individual patients ” (Slattery, M.J. 2006). As such experts examined healthcare from the perspective as a process whereby evidence is used when making informed decisions on a specific group of patients. The concept of research in evidence may embrace a number of other disciplines that include, quality improvement and nursing research.

Nursing research in EBP is essentially an ordered inquiry that is designed to both enhance and refine the knowledge base of nurses. This type of research is normally either qualitative, quantitative or triangulated. In quantitative studies EBP research is objective and produces measurable results to areas of knowledge, belief or experience. An example being measurement of pulse and blood rates. Qualitative research are more based upon interviews, questionnaires and empirical research practices. Triangulated is a mix or hybrid of both qualitative and quantitative research.

EBP is a progressive move forward in Nursing practice because it is using proven scientific methods of research to acquire knowledge and validate information. This empowers nurses by increasing their knowledge base and making them more informed on specific subject matters. It also encourages nurses to have an inquiring mindset and look at the different facets of a problem and as such increases the integrity of decision making in patient care. EBP also cultivates and encourages multidisciplinary teams in the collaboration of research inquiries. This creates increased learning opportunities for the nurses and increases the synergy or group dynamics between different departments. Bringing together such a team creates a more holistic examination of the problem and ultimately enhances the result of the research.

Slattery, S. B. (2006). Evidence Based Practice in Nursing. Danvers MA: HC Pro Inc.

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Center for Nursing Inquiry

Evidence-based practice, what is ebp.

As nurses, we often hear the term evidence-based practice (EBP). But, what does it actually mean? EBP is a process used to review, analyze, and translate the latest scientific evidence. The goal is to quickly incorporate the best available research, along with clinical experience and patient preference, into clinical practice, so nurses can make informed patient-care decisions ( Dang et al., 2022 ). EBP is the cornerstone of clinical practice. Integrating EBP into your nursing practice improves quality of care and patient outcomes.

How do I get involved in EBP?

As a nurse, you will have plenty of opportunities to get involved in EBP. Take that “AHA” moment. Do you think there’s a better way to do something? Let’s turn to the evidence and find out!

When conducting an EBP project, it is important to use a model to help guide your work. In the Johns Hopkins Health System, we use the Johns Hopkins Evidence-Based Practice (JHEBP) model. It is a three-phase approach referred to as the PET process: practice question, evidence, and translation. In the first phase, the team develops a practice question by identifying the patient population, interventions, and outcomes (PICO). In the second phase, a literature search is performed, and the evidence is appraised for strength and quality. In the third phase, the findings are synthesized to develop recommendations for practice.

The JHEBP model is accompanied by user-friendly tools. The tools walk you through each phase of the project. Johns Hopkins nurses can access the tools via our Inquiry Toolkit . The tools are available to individuals from other institutions via the Institute for Johns Hopkins Nursing (IJHN) .

If you’re interested in learning more about the JHEBP model and tools, Johns Hopkins nurses have access to a free online course entitled JHH Nursing | Central | Evidence-Based Practice Series in MyLearning. The course follows the JHEBP process from beginning to end and provides guidance to the learner on how to use the JHEBP tools. The course is available to individuals from other institutions for a fee via the Institute for Johns Hopkins Nursing (IJHN) .

Where should I start?

All EBP projects need to be submitted to the Center for Nursing Inquiry for review. The CNI ensures all nurse-led EBP projects are high-quality and value added. We also offer expert guidance and support, if needed.

Who can help me?

The Center for Nursing Inquiry  can answer any questions you may have about the JHEBP tools. All 10 JHEBP tools can be found in our Inquiry Toolkit : project management guide, question development tool, stakeholder analysis tool, evidence level and quality guide, research evidence appraisal tool, non-research evidence appraisal tool, individual evidence summary tool, synthesis process and recommendations tool, action planning tool, and dissemination tool. The tools walk you through each phase of an EBP project.

The Welch Medical Library  serves the information needs of the faculty, staff, and students of Johns Hopkins Medicine, Nursing and Public Health. Often, one of the toughest parts of conducting an EBP project is finding the evidence. The informationist  assigned to your department can assist you with your literature search and citation management.

When do I share my work?

Your project is complete. Now what? It’s time to share your project with the scholarly community.

To prepare your EBP project for publication, use the JHEBP Dissemination Tool . The JHEBP Dissemination Tool (Appendix J) details what to include in each section of your manuscript, from the introduction to the discussion, and shows you which EBP appendices correspond to each part of a scientific paper. You can find the JHEBP Dissemination Tool in our Inquiry Toolkit . 

You can also present your project at a local, regional, or national conference. Poster and podium presentation templates are available in our Inquiry Toolkit .

To learn more about sharing your project, check out our Abstract & Manuscript Writing webinar and our Poster & Podium Presentations webinar !

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Examples of Evidence-Based Practice in Nursing

This article was written in collaboration with Christine T. and ChatGPT, our little helper developed by OpenAI.

Evidence-based practice (EBP) is a key component of nursing care, aiming to improve patient outcomes and healthcare quality by integrating the best available evidence with clinical expertise and patient preferences. In this article, we will explore some real-world examples of EBP in nursing care, including fall prevention strategies, antibiotic stewardship programs, and mindfulness-based interventions for pain management. We will also discuss some common challenges and barriers to EBP implementation and strategies to overcome them.

Example 1: Implementation of Fall Prevention Strategies

Fall prevention strategies are important in nursing care, particularly for elderly patients at higher risk of falls and related injuries. Healthcare facilities can reduce falls and improve patient safety by implementing evidence-based fall prevention strategies. For example, one study found that implementing a multifaceted fall prevention program in a long-term care facility reduced the rate of falls by 34%.

Key components of fall prevention strategies include:

• Comprehensive patient assessment to identify fall risk factors
• Individualized care plans to address identified risk factors
• Staff education and training on fall prevention techniques
• Environmental modifications to reduce hazards

Example 2: Use of Antibiotic Stewardship Programs

Antibiotic stewardship programs aim to optimize antibiotic use, improving patient outcomes while minimizing the risk of antibiotic resistance. By implementing evidence-based antibiotic stewardship programs, healthcare facilities can reduce unnecessary antibiotic use and prevent the emergence of antibiotic-resistant organisms. For example, one study found that implementing an antibiotic stewardship program in a hospital reduced antibiotic use by 30% without compromising patient outcomes.

Key components of antibiotic stewardship programs include:

• Antibiotic prescribing guidelines based on the latest evidence
• Regular review and feedback on antibiotic prescribing practices
• Education and training for healthcare providers on appropriate antibiotic use

Example 3: Integration of Mindfulness-Based Interventions for Pain Management

Mindfulness-based interventions, such as mindfulness-based stress reduction (MBSR), effectively manage chronic pain. By integrating evidence-based mindfulness-based interventions and palliative care into nursing care, healthcare facilities can provide effective pain management options that do not rely on opioids or other medications. For example, one study found that integrating MBSR into nursing care for chronic pain patients reduced pain severity and improved quality of life.

Key components of mindfulness-based interventions include:

• Mindfulness meditation exercises to increase awareness and acceptance of pain
• Yoga or other gentle physical activities to promote relaxation and flexibility
• Group support and discussion to share experiences and coping strategies

Challenges and Barriers to EBP Implementation

Implementing EBP in nursing care can be challenging, with common barriers including limited resources, lack of time, and resistance to change. However, overcoming these barriers is crucial for improving patient outcomes and healthcare quality. Strategies for overcoming these barriers include:

• Engaging staff in the EBP process
• Using quality improvement methods such as Plan-Do-Study-Act (PDSA) cycles
• Prioritizing EBP as a core component of nursing care

Evidence-based practice is essential for improving patient outcomes and healthcare quality in nursing care. By implementing evidence-based strategies such as fall prevention programs, antibiotic stewardship programs, and mindfulness-based interventions, healthcare facilities can improve patient safety and reduce unnecessary interventions. While there may be challenges and barriers to EBP implementation, nursing professionals must prioritize EBP and work together to overcome these challenges. We can continue improving nursing care and providing our patients with the best possible outcomes.

📎 Related Articles

1. The Joint Commission 2. CDC Antibiotic Stewardship Program 3. Agency for Healthcare Research and Quality (AHRQ) 4. Institute for Healthcare Improvement (IHI) 5. Examples of Evidence-Based Practice in Nursing 6. Understanding Evidence-Based Practice in Nursing + 10 Examples 7. 5 Examples of Evidence-Informed Nursing Practice Protocols

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Evidence Based Practice’ Impact on Nursing Essay (Article)

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Brief discussion, ebp discussions.

Reid, J., Briggs, J., Carlisle, S., Scott, D., & Lewis, C. (2017). Enhancing utility and understanding of the evidence-based practice through undergraduate nurse education. BMC Nursing, 16 (58), 1-8. Web.

The selected article offers meaningful insights that can empower nursing educationists and practitioners to embrace the power of evidence-based practice (EBP). The authors describe a new course (Evidence-Based Nursing 1) that was implemented as part of an undergraduate nursing program. The researchers observed that the targeted learners were willing to make evidence-based practices part of their nursing philosophies after completing the course. The practice can encourage practitioners to integrate EBP into their respective care delivery models (Reid, Briggs, Carlisle, Scott, & Lewis, 2017). The judicious use of emerging or current evidence in care delivery and health decision-making processes can result in improved patient outcomes and support advanced practice nursing. This article describes the meaning of EBP and how it can be implemented in nursing institutions to ensure that advanced practice nurses (APNs) are prepared to meet their patients’ health needs. The use of emerging evidence and concepts from research studies can guide nurses to offer advanced care. When APNs embrace the power of EBP, they will achieve their potential and offer quality and equitable health services.

The concept of EBP revolves around the use of best evidence to improve patient outcomes. Mackey and Bassendowski (2016) indicate that external clinical findings, results from systematic studies, and personal nursing expertise constitutes “best evidence” for EBP. Nurses should combine such concepts to develop appropriate care delivery models and make desirable decisions to support their patients. EBP is a powerful approach that can be used at the point of care. Proficient nurses can diagnose and educate patients depending on their conditions. Such practitioners will identify signs and symptoms, offer timely patient education, and empower individuals to engage in disease management practices. These tasks at the point of care will be informed by every nurse’s current evidence and information backed by the latest research findings.

Informatics can bring the best available evidence to support AGPC practice. Modern technologies empower nurses to use standardized terminologies that can result in desirable health outcomes. Digital sources of timely or latest evidence can also be used to meet patients’ needs. Practitioners can use informatics processes to acquire and apply evidence to different clinical situations (Reid et al., 2017). Informatics competencies empower nurses to minimize sentinel events and meet patients’ needs.

I am planning to embrace the future by using EBP in my practice. I will incorporate the concept using a powerful strategy. The approach will be implemented using the notion of lifelong learning. I will also undertake numerous researches and use modern informatics to improve my nursing philosophy. Unfortunately, some barriers can affect the implementation and development of an EBP culture. The first one is the existing gap in education and practice. This limitation affects nurses’ ability to use evidence accurately and efficiently. The lack of appropriate policies to support the use of EBP is the second challenge (Mackey & Bassendowski, 2016). The third obstacle is that many institutions and practitioners have failed to embrace the power of informatics. These gaps affect patients’ health outcomes negatively.

EBP is expected to impact advanced nursing practice positively. The concept can sanction practitioners to make informed decisions and offer desirable care depending on their patients’ expectations. The approach results in improved care delivery systems. It also encourages practitioners to improve their nursing philosophies using emerging ideas (or concepts) and their competencies (Reid et al., 2017). EBP empowers nurses to make informed decisions, develop superior care delivery models, and update their skills. APNs using the concept will, therefore, offer safe, affordable, and sustainable care to their patients.

Mackey, A., & Bassendowski, S. (2016). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33 (1), 51-55. Web.

Reid, J., Briggs, J., Carlisle, S., Scott, D., & Lewis, C. (2017). Enhancing utility and understanding of evidence based practice through undergraduate nurse education. BMC Nursing, 16 (58), 1-8. Web.

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• Teaching Beliefs in Nursing Education
• Nursing Theory: Evidence-Based Practice
• Nursing Research: Clinical Performance
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